| Page (PDF) | 73 |
|---|---|
| Certificate Number | 15924 |
| Name of Deceased | Perry, Elsie |
| Place of Death | Wicomico |
| Town of Death | White Haven |
| Sex | F |
| Race | C |
| Married, Widowed, or Single | x |
| Date of Birth | 7/24/1918 |
| Age (year, month, days) | 17 ds |
| Occupation or Employer | x |
| Birthplace | Maryland |
| Father's Name | Benjamin Perry |
| Father's Birthplace | Md |
| Mother's Name | Elsie Jones |
| Mother's Birthplace | Md |
| Informant (Relationship and Address) | Benjamin Perry; White Haven, Md |
| Date of Death | 8/9/1918 |
| Cause of Death and Time Attended by Doctor | no physician in attendance; information given by Mary Jones, --lady |
| Immediate, Secondary, or Contributory Cause and How Long | fits |
| Physician and Address | x; x |
| Burial Place, Date, Undertaker, and Address | Head Creek Church; 8/10/1918; CG Messick; Bivalve |
| Length of Residence, Where Disease Contracted, Former Residence | Tyaskin Md |
| Other Notes | – |
If you are citing this record, please use the following format:
[Author (if known)], Maryland Death Certificates (Somerset, Wicomico, Worcester Counties), 1910-1922, [Date (if known)], Enduring Connections: Exploring Delmarva’s Black History, Nabb Research Center, Salisbury University.
Pinned records can be viewed at any time by clicking the More menu in the top right corner of the page, then selecting My Pinned Records.